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General NPI Number Information
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NPI Number | 1568541878
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Entity Type | Organization
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Legal Business Name | COORDINATED PRIMARY CARE DBA MATERNAL FETAL MONITORING ASSOCIATES
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Dates
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Enumeration Date | 11/06/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 60 HOSPITAL RD
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City | LEOMINSTER
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State | MA
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Zip | 01453-2205
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Country | US
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Telephone | 978-466-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 1725 MENDON RD SUITE 207
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City | CUMBERLAND
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State | RI
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Zip | 02864-4337
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Country | US
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Telephone | 401-334-2423
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Fax |
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Authorized Official
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Title or Position | AUTHORIZED OFFFICIAL
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Name | ELLEN DELPAPA
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Credential | MD
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Telephone | 978-466-2000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VM0101X
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Taxonomy Name | Maternal & Fetal Medicine Physician
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License Number |
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License Number State |
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